Accounts Receivable Data Entry

R O S LYN H A R P E R

************@*****.***

PROFESSIONAL SUMMARY

Administrative Professional and Notary Public with Accounts Receivable background in Financial Services, Billing and Medical Administration. Extensive experience in professional billing platforms in Centers for Medicare and Medicaid approved electronic health record and practice management systems

Accounts Receivable Specialist, MD Billing Solutions Verify patient and provider eligibility and record insurance information in patient record Process claims rejections and denials for appeals and resubmissions for clinical services provided in urgent care and home settings

Review insurance explanation of benefits and third party reimbursement Research underpaid medical claims for fees negotiations Identify and execute process adjustments where appropriate Research and address patient account disputes and billing discrepancies, and record account updates

Generate patient statements

Perform daily collections calls

Review records for completeness, accuracy, and compliance with regulations Medical Biller, Shiel Medical Laboratories

Processed laboratory requisitions

Performed daily insurance verifications of patient demographics and eligibility of coverage Used coded data to produce and submit claims to insurance companies Submitted claims to insurance companies and billed self pay patients Posted insurance and self pay payments

EMPLOYMENT HISTORY

Apr. 2016 – Present

Brooklyn

Jul. 2015 – Apr. 2016

Brooklyn

FGP Manager/Interim Billing Coordinator, NYU Langone Medical Center School of Medicine, The Pearl I. Barlow Center for Cognitive Neurology Collaborated with project managers from Clinical Affairs in transitioning Neurology Department from paper charts to the electronic health record; Successfully implemented new technologies and process automations to engage eligible physicians and patients in meaningful use practices

Reviewed and implemented faculty group practice specialty service fee schedules, determined interpretation of charges, recognized possible areas of difficulty and took appropriate steps to achieve clean and timely filing of claims; Charge capture focus and reconcilation. Collaborated with clinicians, billing vendor, and business administrator in annual audit of billed encounters and helped recover over $100,000 in missed charges. Managed and worked assigned patient and charge review workqueues in accordance with National Correct Coding Initiative for Medicare services Reviewed faculty group practice and regulatory guidelines to ensure practice compliance. Advised physicians, staff and management of new medical school policies and procedures in accordance with national and regional managed care billing regulations Reviewed charge encounter forms for physician billing; reviewed and processed deposits to ensure steady cash flow. Verified benefits and eligibility and advised patients/guarantors of their financial responsibility; provided customer service support to Billing and Collections Departments and addressed denial management concerns Coordinated administrative and purchasing activities for the medical practice; Used administrative oversight and ensured that personnel and patient records were properly maintained. Interfaced with Faculty Group Practice, Psychiatry, and Neurology Administrations to ensure proper credentialing of medical and mental health providers Interim Program Coordinator, Epilepsy Monitoring Unit, NYU Langone Medical Center School of Medicine

Provided general unit support to Epileptologist and Video Electroencephalography (vEEG) Technician

Pre-certified and scheduled vEEG admissions; coordinated with patients, attending physicians, Nursing, Admitting, and insurance carriers to ensure smooth inpatient operations Maintained financial records that provided justification for EMU expansion Managed purchase requisitions for clinical and office supplies Engaged in public relations efforts including brochure development to help increase visibility for the Epilepsy Monitoring Unit

Administrative Assistant, NYU Comprehensive Stroke Care Center Provided general office support to Stroke Neurologist and Administrative Nursing Coordinator; Assisted with preparation of monthly meeting agendas and minutes for the Stroke Steering Committee and the Stroke Care Management Team Clinical practice assistant to Director, Cerebrovascular Disease Division; scheduled office visits and prepared office notes for stroke and non-stroke patients; obtained referrals and prior authorizations from insurance carriers for office-based and outpatient hospital services; prepared and shipped patient batch payments to third party billing company for faculty practice

Assisted with preparation, assembly and submission of clinical trial data for IRB approval Provided support in clinical performance improvement efforts; entered admission and discharge medications; ordered and copied charts; assisted with chart screening to eliminate obvious non-stroke cases prior to chart review; created and implemented chart review form; online research

Jul. 2009 – Jul. 2015

New York

Jan. 2008 – Jul. 2009

New York

Sep. 2006 – Jun. 2009

New York

Office Manager/Administrative Assistant, Kaufmann, Gallucci & Grumer LLP

Worked part-time from 1995-1999 while pursuing Bachelor's degree. Worked full-time after graduation.

Supported three Senior Partners and accounting staff in reputable Wall Street based CPA firm. Coordinated and scheduled quarterly meetings and training. Provided accounting, audit tax engagement support

Collected, assembled data and assisted with preparation and shipment of monthly and annual financial reporting, corporate and individual tax filing for Securities Industry Acted as corporate computer liaison for employer and webmaster/host; obtained pricing and delivery for assigned production components; processed, placed, and expedited purchase requisitions for supplies, equipment, and services Performed clerical duties including phones, typing, and heavy filing. Maintained accounting, audit and tax library; managed company storage inventory Accounts receivable and payable management; addressed unpaid invoices and open balances

Collected timesheets, reviewed time analysis reports and prepared invoices from the in-house time and billing software. Prepared expense reports and credit memos. Jul. 1995 – Sep. 2006

New York

eClinicalWorks

EPIC

EncoderPro (Optum360)

ChangeHealthcare (Emdeon)

Connex

Availity

PeopleSoft

MicroSoft Word

MicroSoft Excel

SKILLS

Bachelor of Arts: Economics

Fordham University at Lincoln Center - New York, New York Associate of Arts: Liberal Arts

Kingsborough Community College - Brooklyn, New York EDUCATION

May. 1999

Jun. 1995

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